An Early Investigation into Possible Alternatives to Stapled Hysterotomy in Open Fetal Surgery.

Abstract:

PURPOSE:We hypothesized that surgical energy could be used to create hysterotomies in open fetal surgery. STUDY DESIGN:Initial studies compared the LigaSure Impact and Harmonic ACE + 7 Shears in the efficiency of hysterotomy and thermal damage. Pregnant ewes at an estimated gestational age (EGA) of 116 to 120 days (term = 145; n = 7) underwent hysterotomy using either device. Hysterotomy edges were resected, and thermal injury extent was determined by histopathological assessment. Upon determining a superior device, subsequent studies compared this to the AutoSuture Premium Poly CS*-57 Stapler in uterine healing. Pregnant ewes (n = 6) at an EGA of 87 to 93 days underwent 6-cm hysterotomy in each gravid horn with either the stapler (n = 5) or Harmonic (n = 5) followed by closure and animal recovery. After 37 to 42 days, uterine healing was assessed by evaluating tensile strength and histopathology. RESULTS:Thermal damage was more extensive with the LigaSure (n = 11 hysterotomies) than with the Harmonic (n = 11; 5.6 ± 1 vs. 3.1 ± 0.6 mm; p < 0.0001);therefore, the Harmonic was selected for healing studies. Gross scar appearance and tensile strength were the same between the Harmonic and stapler. The stapler caused more fibrosis (4/7 samples with "moderate" fibrosis vs. 0/8 with the Harmonic; p = 0.02). CONCLUSION:The Harmonic ACE + 7 caused less thermal injury than the LigaSure Impact and performed similar to the CS*-57 Stapler in uterine healing with continued gestation.

journal_name

Am J Perinatol

authors

Church JT,McLeod JS,Coughlin MA,Bergin IL,Perkins EM,Hoffman HR,Bilger M,Rojas-Peña A,Treadwell MC,Berman DR,Jarboe MD,Mychaliska GB,Perrone EE

doi

10.1055/s-0038-1673664

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

742-750

issue

7

eissn

0735-1631

issn

1098-8785

journal_volume

36

pub_type

杂志文章
  • Multicenter Experience with Neurally Adjusted Ventilatory Assist in Infants with Severe Bronchopulmonary Dysplasia.

    abstract:OBJECTIVE: The aim of this study is to determine patterns of neurally adjusted ventilatory assist (NAVA) use in ventilator-dependent preterm infants with evolving or established severe bronchopulmonary dysplasia (sBPD) among centers of the BPD Collaborative, including indications for its initiation, discontinuation, an...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0040-1708559

    authors: McKinney RL,Keszler M,Truog WE,Norberg M,Sindelar R,Wallström L,Schulman B,Gien J,Abman SH,Bronchopulmonary Dysplasia Collaborative.

    更新日期:2020-03-24 00:00:00

  • Identification of a Pivotal Period in the Oral Feeding Progression of Preterm Infants.

    abstract:OBJECTIVE:Preterm infants are at risk of encountering oral feeding difficulties which impede on the transition to independent oral feeds. The objective of this study was to identify a pivotal period where regressions are most likely to occur during their oral feeding progression. STUDY DESIGN:This is a retrospective s...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0038-1669947

    authors: Fucile S,Phillips S,Bishop K,Jackson M,Yuzdepski T,Dow K

    更新日期:2019-04-01 00:00:00

  • Hypoxic hepatitis in a pregnant patient: a complication of gastric bypass surgery.

    abstract::Elevated serum transaminase levels can have many different etiologies, especially in the pregnant patient. Hypoxic hepatitis is a distinct syndrome caused by decreased hepatic blood flow that presents with a marked, but transient, increase in liver enzymes. A 28-year-old woman, gravida 3, para 2 with history of gastri...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0028-1085065

    authors: Kummer N,Cackovic M,Paidas M,Funai E

    更新日期:2008-09-01 00:00:00

  • Vaginal Microbiota in Pregnancy: Evaluation Based on Vaginal Flora, Birth Outcome, and Race.

    abstract:OBJECTIVE:This study aims to evaluate vaginal microbiota differences by bacterial vaginosis (BV), birth timing, and race, and to estimate parameters to power future vaginal microbiome studies. METHODS:Previously, vaginal swabs were collected at 21 to 25 weeks (stored at -80°C), and vaginal smears evaluated for BV (Nug...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0035-1565919

    authors: Subramaniam A,Kumar R,Cliver SP,Zhi D,Szychowski JM,Abramovici A,Biggio JR,Lefkowitz EJ,Morrow C,Edwards RK

    更新日期:2016-03-01 00:00:00

  • Relatively reduced values of plasma alpha-fetoprotein at early second trimester of pregnancies with hypertensive disorders.

    abstract::Hypertensive disorders during pregnancy implicate placental pathologic conditions, which may interfere with the normal passage of alpha-fetoprotein (AFP) to the maternal blood. We compared the levels of maternal serum (MS) in early second trimester of pregnancies complicated by hypertensive disorders with those of mat...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999254

    authors: Leiberman JR,Shoham I,Chattach F,Romem Y,Glezerman M

    更新日期:1992-09-01 00:00:00

  • Uterine rupture in patients with a prior cesarean delivery: the impact of cervical ripening.

    abstract::The purpose of this study was to examine factors that were associated with uterine rupture in patients attempting vaginal birth after cesarean delivery. We analyzed the results of all patients attempting vaginal birth after cesarean delivery between September 1996 to December 1999 at a single institution using a conte...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2004-828608

    authors: Hoffman MK,Sciscione A,Srinivasana M,Shackelford DP,Ekbladh L

    更新日期:2004-05-01 00:00:00

  • First trimester chorionic villus sampling in twin gestations.

    abstract::First-trimester prenatal diagnosis was offered to 104 twin pregnancies mainly for advanced maternal age and cytogenetic evaluation of a new fertilization technique. Chorionic villus sampling (CVS) was performed transcervically (35%), transabdominally (23%), or by combination of these two techniques (42%). Although no ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994380

    authors: De Catte L,Liebaers I,Foulon W,Bonduelle M,Van Assche E

    更新日期:1996-10-01 00:00:00

  • Cytomegalovirus Infection among Infants in Neonatal Intensive Care Units, California, 2005 to 2016.

    abstract:AIM:The main purpose of this article is to assess trends in cytomegalovirus (CMV) infection reported among infants in California neonatal intensive care units (NICUs) during 2005 to 2016. STUDY DESIGN:The California Perinatal Quality Care Collaborative collects data on all very low birth weight (VLBW, birth weight ≤ 1...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0039-1683958

    authors: Tran C,Bennett MV,Gould JB,Lee HC,Lanzieri TM

    更新日期:2020-01-01 00:00:00

  • Challenges Faced in Translating the Benefits of Surfactant Replacement Therapy to a Resource-Limited Setting.

    abstract::Aim To determine the challenges, if any, in translating the benefits of surfactant replacement therapy (SRT) to a resource-limited setting. Method This was a retrospective descriptive study comparing the outcome of 75 cases who received surfactant and 69 controls who did not at the University Hospital of the West Indi...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0036-1598023

    authors: Hamilton N,Trotman H

    更新日期:2017-07-01 00:00:00

  • Prolactin and plasma prostaglandin metabolite levels in patients undergoing nipple stimulation contraction stress tests.

    abstract::Twenty-five patients undergoing nipple stimulation contraction stress tests were enrolled in this study. Plasma 13,14-dihydro, 15-keto prostaglandin F2 alpha and plasma prolactin concentrations were analyzed before and during the contraction stress tests. Prolactin concentrations were significantly higher (p less than...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999444

    authors: Rijhsinghani AG,Dubin NH,Zacur HA,Johnson TR,Niebyl JR

    更新日期:1990-01-01 00:00:00

  • Maternal Asthma Is an Independent Risk Factor for Long-Term Respiratory Morbidity of the Offspring.

    abstract:OBJECTIVE:The objective of this study was to investigate whether maternal bronchial asthma increases the risk for long-term respiratory morbidity of the offspring. STUDY DESIGN:A population-based cohort study compared the incidence of long-term pediatric hospitalizations due to respiratory disease of the offspring of ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0038-1639507

    authors: Spiegel E,Shoham-Vardi I,Goldbart A,Sergienko R,Sheiner E

    更新日期:2018-09-01 00:00:00

  • Nonimmune hydrops fetalis due to congenital syphilis associated with negative intrapartum maternal serology screening.

    abstract::We present an unusual case, in which a woman presenting with markedly decreased fetal movements at 29 weeks gestation following a recent increase in fundal height was noted sonographically to have fetal hydrops consisting of scalp edema, marked hepatomegaly, ascites, and polyhydramnios. No lethal structural congenital...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-993933

    authors: Levine Z,Sherer DM,Jacobs A,Rotenberg O

    更新日期:1998-04-01 00:00:00

  • Ambulatory uterine activity monitoring in the post-hospital care of patients with preterm labor.

    abstract::Care of women with preterm labor has been reported by Katz et al to be enhanced by use of an electronic uterine contraction monitor. We enrolled 76 women with singleton gestations who had been successfully treated for preterm labor into a prospective randomized trial, assigning subjects in a ratio of 1:2 to a group of...

    journal_title:American journal of perinatology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1055/s-2007-999473

    authors: Iams JD,Johnson FF,O'Shaughnessy RW

    更新日期:1990-04-01 00:00:00

  • Variables associated with successful vaginal birth after one cesarean section: a proposed vaginal birth after cesarean section score.

    abstract::The objective of this study was to define the variables associated with vaginal birth after cesarean section (VBAC) and to develop a scoring system for the prediction of successful VBAC. We searched our computerized database for parturients with a history of one low-transverse cesarean section (CS) who were delivered ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2004-835961

    authors: Gonen R,Tamir A,Degani S,Ohel G

    更新日期:2004-11-01 00:00:00

  • Birth weight and gestational age standards based on regional perinatal network data: an analysis of risk factors.

    abstract::The most frequently used set of gestational age-birth weight curves in the United States is the Colorado (C) standard published in 1963. To investigate the usefulness of this standard in an urban population at sea level, we examined the birth weight vs gestational age data from 56,675 singleton liveborn infants born b...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999785

    authors: Raju TN,Winegar A,Seifert L,Miller S

    更新日期:1987-07-01 00:00:00

  • Community-Acquired Pneumonia in Children: Myths and Facts.

    abstract::Community-acquired pneumonia (CAP) is the leading cause of death in children < 5 years of age worldwide. It is also one of the most frequent infectious diseases in children, leading to large antibiotic use and hospitalization even in the industrialized countries. However, the optimal management of CAP in children is s...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0039-1691801

    authors: Yun KW,Wallihan R,Juergensen A,Mejias A,Ramilo O

    更新日期:2019-07-01 00:00:00

  • Prevention of RhD Alloimmunization: A Comparison of Four National Guidelines.

    abstract:OBJECTIVE: The objective of this study was to compare national guidelines on the prevention of RhD alloimmunization. STUDY DESIGN: We performed a review of four national guidelines on prevention of alloimmunization from the American Congress of Obstetricians and Gynecologists, Royal College of Obstetricians and Gynaec...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0037-1606609

    authors: Sperling JD,Dahlke JD,Sutton D,Gonzalez JM,Chauhan SP

    更新日期:2018-01-01 00:00:00

  • Prenatal Diagnosis of Vasa Previa: Outpatient versus Inpatient Management.

    abstract:OBJECTIVE:The aim of this study was to compare the pregnancy outcome of two different management strategies: outpatient versus inpatient in women with prenatal diagnosis of vasa previa. MATERIALS AND METHODS:This is a retrospective cohort study conducted at a single tertiary center. Women with a prenatally diagnosed v...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0038-1669396

    authors: Fishel Bartal M,Sibai BM,Ilan H,Katz S,Schushan Eisen I,Kassif E,Yoeli R,Yinon Y,Mazaki-Tovi S

    更新日期:2019-03-01 00:00:00

  • Serum erythropoietin quantitation in pregnancy using an enzyme-linked immunoassay.

    abstract::During normal pregnancy there is a decrease in the hematocrit due to a disproportionate increase in the blood volume compared with the red cell mass. Using a new enzyme-linked immunoassay (Amgen Diagnostics), serum erythropoietin was quantified in normal nonanemic pregnancies throughout gestation and in third trimeste...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994778

    authors: Harstad TW,Mason RA,Cox SM

    更新日期:1992-07-01 00:00:00

  • Emergency cerclages: a review of 40 consecutive procedures.

    abstract::This report describes 40 consecutive emergency cerclages on dilated and effaced cervices prior to 26 weeks' gestation. These "emergency" cerclages were associated with a mean extension of gestational age of 12 weeks (range, 3 days to 20.5 weeks). Thirty-one of 40 pregnancies were carried to 28 weeks' gestation and 23 ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999307

    authors: Mitra AG,Katz VL,Bowes WA Jr,Carmichael S

    更新日期:1992-05-01 00:00:00

  • A Genome-Wide Analysis of Clinical Chorioamnionitis among Preterm Infants.

    abstract:OBJECTIVE:To identify single nucleotide polymorphisms (SNPs) associated with clinical chorioamnionitis among preterm infants. STUDY DESIGN:We reanalyzed a genome-wide association study (GWAS) from preterm newborns at less than 30 weeks' gestation. Cases and control definitions were determined using administrative reco...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0038-1677503

    authors: Spiegel AM,Li J,Oehlert JW,Mayo JA,Quaintance CC,Girsen AI,Druzin ML,El-Sayed YY,Shaw GM,Stevenson DK,Gibbs RS

    更新日期:2019-12-01 00:00:00

  • Labor and delivery complicated by acute mitral regurgitation due to ruptured chordae tendineae.

    abstract::Acute mitral regurgitation due to ruptured chordae tendineae is a dramatic and life-threatening clinical situation. Rarely does this complication occur during pregnancy. We present a case of a 30-year-old woman in week 31 of her pregnancy who developed acute mitral regurgitation, secondary to bacterial endocarditis an...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994418

    authors: Hagay ZJ,Weissman A,Geva D,Snir E,Caspi A

    更新日期:1995-03-01 00:00:00

  • Risk Factors Linked to Central Catheter-Associated Thrombosis in Critically Ill Infants in the Neonatal Intensive Care Unit.

    abstract:OBJECTIVE:Our study identified risk factors for the development of clinically identifiable catheter-associated thrombosis (CT). STUDY DESIGN:We performed a retrospective cohort study of neonates in whom a central catheter was present. A total of 1,475 catheters were identified in 766 patients during a 36-month study p...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0038-1667377

    authors: Lambert I,Tarima S,Uhing M,Cohen SS

    更新日期:2019-02-01 00:00:00

  • Ultrasonically measured biparietal diameter and abdominal circumference: intra- and interobserver variation in the third trimester.

    abstract::Serial ultrasound measurements of the fetus under investigation is an important indicator of fetal growth, and thus fetal health. To assess how reliable those measurements are, a videotape was made, and, utilizing an ultrasound machine that allowed the placement of callipers on the videotape, the dispersion of the mea...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999271

    authors: Vine DG,Cooperberg PL,Dansereau J

    更新日期:1992-09-01 00:00:00

  • Feto-neonatal ultrasonography to detect renal abnormalities: evaluation of 1-year screening program.

    abstract::To determine the accuracy of antenatal renal pelvis measurement as a screening tool for renal anomalies we reviewed the antenatal ultrasounds performed at our institution over 1 year. Renal pelvis dilation was found in 3.8% of pregnancies followed by our obstetrics department. In nine (17.6%) infants renal anomalies w...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-993918

    authors: Fasolato V,Poloniato A,Bianchi C,Spagnolo D,Valsecchi L,Ferrari A,Paesano P,Del Maschio A

    更新日期:1998-03-01 00:00:00

  • A neonatal nurse training program in kangaroo mother care (KMC) decreases barriers to KMC utilization in the NICU.

    abstract:OBJECTIVE:This study assessed the impact of a nurse simulation training program on perception of kangaroo mother care (KMC) value and transfer skill competency. STUDY DESIGN:An 8-item Likert scale skill survey tool and a 24-item Likert developmental care survey tool were used in a prospective cohort study to analyze p...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0034-1371359

    authors: Hendricks-Munoz KD,Mayers RM

    更新日期:2014-11-01 00:00:00

  • Does prenatal care decrease the incidence and cost of neonatal intensive care admissions?

    abstract::This study was conducted to examine the potential effects of expanded Medicaid coverage for low income women. Statewide birth data for 1983 to 1985 were examined to determine the relationship between prenatal care and admissions to neonatal intensive care units (NICUs) and the costs of this care. An NICU sample was co...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994790

    authors: Wilson AL,Munson DP,Schubot DB,Leonardson G,Stevens DC

    更新日期:1992-07-01 00:00:00

  • Recombinant human erythropoietin in the treatment of anemia of prematurity.

    abstract::Seventy premature infants (birthweight 1.75 kg or less, gestational age 33 weeks or less) with hemoglobin less than 10 g/dL and hematocrit less than 30% were studied and randomly divided into three groups. All of them received oral elemental iron 3 mg/kg/day and vitamin E 5 mg/kg/day during the study period. Recombina...

    journal_title:American journal of perinatology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1055/s-2007-994483

    authors: Chen JY,Wu TS,Chanlai SP

    更新日期:1995-09-01 00:00:00

  • Outcome of neonates less than 30 weeks gestation with histologic chorioamnionitis.

    abstract::The purpose of this study was to determine the short-term outcome of newborns less than 30 weeks gestation when there is definite placental histologic chorioamnionitis. A retrospective analysis was performed of records of all neonates delivered at our institution from January 1989 through January 1999. This informatio...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2005-865020

    authors: Dempsey E,Chen MF,Kokottis T,Vallerand D,Usher R

    更新日期:2005-04-01 00:00:00

  • Relationship of Early Pregnancy Waist-to-Hip Ratio versus Body Mass Index with Gestational Diabetes Mellitus and Insulin Resistance.

    abstract:OBJECTIVE:To determine the risk of gestational diabetes mellitus (GDM) and insulin resistance (IR) in obesity defined by body mass index (BMI), waist-to-hip ratio (WHR), or both combined. METHODS:Secondary analysis of a randomized multicenter trial of antioxidant supplementation versus placebo in nulliparous low-risk ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1055/s-0035-1562928

    authors: Basraon SK,Mele L,Myatt L,Roberts JM,Hauth JC,Leveno KJ,Varner MW,Wapner RJ,Thorp JM Jr,Peaceman AM,Ramin SM,Sciscione A,Tolosa JE,Sorokin Y,Eunice Kennedy Shriver National Institute of Child Health and Human Development Mate

    更新日期:2016-01-01 00:00:00